DR. JENNIFER LYNN MASSARA (M.D.) – Obstetrics & Gynecology Physician, NPI 1174597165
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JENNIFER LYNN MASSARA (M.D.)
930 SW Abbey St
Newport, OR 973654820
Phone: (541) 265-2244
Type: Location
705 ELM ST SW STE 200
ALBANY, OR 973211957
Phone: (541) 812-4850
Type: Mailing
705, Elm Street Southwest, Albany historic districts, Albany, Linn County, Oregon, 97321, United States
SUITE 200
ALBANY, OR 97321
Phone: (541) 812-4850
Fax: (541) 812-4889
Type: Location
PO BOX 31235
TUCSON, AZ 857511235
Phone: (520) 324-4100
Fax: (520) 324-1406
Type: Mailing
5301 E GRANT RD
TUCSON, AZ 857122805
Phone: (520) 324-5524
Fax: (520) 324-2927
Type: Location
Corvallis Post Office, Southwest Jefferson Avenue, Corvallis, Benton County, Oregon, 97331, United States
CORVALLIS, OR 973391188
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-04-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061010000758 | I | Obstetrics/Gynecology | AZ | TBD |
| I20100721000466 | I | Obstetrics/Gynecology | OR | TBD |
| I20210222001454 | I | Obstetrics/Gynecology | CA | TBD |
| I20210415000682 | I | Obstetrics/Gynecology | HI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97365)
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